Emergency medicine Australasia : EMA
-
Emerg Med Australas · Feb 2021
Observational StudyImpact of COVID-19 'circuit-breaker' measures on emergency medical service (EMS) utilisation and out-of-hospital cardiac arrest (OHCA) outcomes in Singapore.
To understand the impact of COVID-19 restrictions on emergency medical services (EMSs) utilisation and out-of-hospital cardiac arrest outcomes in Singapore. ⋯ The findings contribute to a growing body of literature internationally on the potential impact of the COVID-19 pandemic on EMS utilisation and outcomes.
-
Emerg Med Australas · Feb 2021
The Impact of COVID-19 Social Restrictions on Trauma Presentations in South Australia.
To review the impact of COVID-19 social restrictions on trauma presentations in South Australia. ⋯ Social restrictions alter the characteristics of trauma presentations.
-
Emerg Med Australas · Feb 2021
The International Federation for Emergency Medicine report on emergency department crowding and access block: A brief summary.
To develop comprehensive guidance that captures international impacts, causes, and solutions related to ED crowding and access block. ⋯ The IFEM report is a comprehensive document intended to be used in whole or by section to inform and address aspects of ED crowding and access block. Overall, ED crowding is a multifactorial issue requiring systems-wide solutions applied at local, regional, and national levels. Access block is the predominant contributor of ED crowding in most parts of the world.
-
Emerg Med Australas · Feb 2021
Impact of a new specialist alcohol and drug brief intervention service model integrated into the emergency department: An interrupted time series analysis.
To describe and examine the impact of a new specialist drug and alcohol brief intervention team (DABIT) model integrated into the ED on the identification of individuals at risk of future alcohol and other drug (AOD)-related harm. A cost-outcome analysis was conducted to assess the impact on costs per referral. ⋯ Integration of a specialist brief intervention AOD model to support ED care may increase uptake of specialist AOD treatment and could be beneficial from an economic efficiency viewpoint.
-
Emerg Med Australas · Feb 2021
Consent and refusal of treatment by older children in emergency settings.
The law recognises that children can exert an increasing level of autonomy and decision-making about their healthcare as they mature, and that intelligence and maturity levels will vary from one child to the next. Therefore, the parameters for when older children can consent to healthcare can be a complex area for clinicians to navigate. Refusal of treatment provides additional challenges for clinicians because the law is less clear about when older children can be involved in refusing treatment which is in their best interests. This article outlines relevant legislation concerning child consent to treatment across Australian jurisdictions and examines refusal of treatment by children using the 2018 case of Mercy Hospitals Victoria v D1 & Anor.